- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist RN II will facilitate, coordinate, and… more
- LA Care Health Plan (Los Angeles, CA)
- …& Grievance program for LA Care Health Plan members under the direct supervision and management of the A&G Nurse Specialist , RN and/or Medical Director. This ... Customer Solution Center Appeals and Grievances Nurse Specialist LVN II Job Category:...Services(CMS), external review organization (QIO or IRE). Work with Utilization Management and PNO to facilitate completion… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Assurance Compliance Nurse Specialist RN II Job Category: Clinical Department: Enterprise Performance Optimization Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Clinical Assurance Compliance Nurse Specialist RN II is responsible for...to assurance compliance with care coordination and documentation of Utilization Management (UM) and CM element. Provide… more
- LA Care Health Plan (Los Angeles, CA)
- …the coordination of member care with internal LA Care departments such as Care Management (CM), Utilization Management (UM), Managed Long Term Services and ... Enhanced Care Management Clinical Specialist II Job Category:... Utilization Review (CPUR), Certified Case Manager (CCM), Utilization Management or Compliance Salary Range Disclaimer:… more
- LA Care Health Plan (Los Angeles, CA)
- Care Management Specialist II Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... support the safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential… more
- Edwards Lifesciences (Los Angeles, CA)
- …difference to patients around the world. As a part of the Field Clinical Specialist team, you will be a critical part of delivering our patient focused innovations, ... Quality, Regulatory, and Education. After extensive training, a Field Clinical Specialist will travel frequently within an assigned territory, clinically training… more
- The County of Los Angeles (Los Angeles, CA)
- REGISTERED NURSE II - NORTH COUNTY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/1164632) Apply REGISTERED NURSE II - NORTH COUNTY ... + Serves as a liaison between committees, staff, and management . + Participates in identifying and resolving ethical issues...practice setting. + Serves as a preceptor: expert or specialist who gives practical experience and training to new… more
- UCLA Health (Los Angeles, CA)
- …of clinical hospital experience; or equivalent of education and experience in case management , utilization management or prior clinical documentation review ... assisting with appropriate documentation strategies. Partnering with Medical Coding, Case Management and the Quality team, you will gather/analyze information to… more
- Amergis (Los Angeles, CA)
- …referrals for psychosocial needs + Participates in Quality Assurance and Utilization Reviewactivities, as directed + Empowers patients in decision-making for care ... to help accomplish goals; acts as a liaison between primary careproviders, specialist , and/or patient + Advocates on behalf of patient regarding accessibility… more